Josef Gurian MD

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AKA: Gurian Josef
Categories: Physicians & Surgeons, Mental Health Services, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Nephrology (Kidneys), Physicians & Surgeons, Oncology, Physicians & Surgeons, Ophthalmology, Physicians & Surgeons, Osteopathic Manipulative Treatment, Physicians & Surgeons, Otorhinolaryngology (Ear, Nose & Throat), Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Physicians & Surgeons, Sleep Disorders, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Weight Loss Management, Skin Care, Sleep Disorders-Information & Treatment

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Phone: (703) 536-2729

Address: 6231 Leesburg Pike Ste 500, Falls Church, VA 22044

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Josef Gurian MD

General Practitioners

Osteoporosis
Sinusitis
If youâ€™re suffering from chronic sinusitis and have exhausted all medical treatment options, your doctor may recommend a surgical procedure known as functional endoscopic sinus surgery (FESS). This involves using an endoscope â€“ a tube with a tiny camera attached â€“ to guide a surgeon in removing extraneous tissue to open up the nasal passages.
Medical Weight Loss
The eustachian tube is a muscular, funnel-shaped tube that connects the middle ear to the back of the nose. Eustachian tube dysfunction refers to any problem that alters how this tube opens and closes, which in turn affects pressure and fluid balance for the ear. The Eustachian tube changes in shape and position as we age and problems can be different in adults and children. Common causes of ETD include allergy, rapid weight loss, infection, enlarged adenoids and sinus disease.
Snoring
If you suffer from snoring and sleep apnea due to excess tissue in the throat or mouth that causes blockages of the upper airway, are unable (or unwilling) to use continuous positive airway pressure (CPAP) â€“ the preferred method for treating sleep apnea â€“ or do not respond to CPAP treatment, you may be a candidate for UPPP.
Ear Infections
Ear infections can occur in the outer or middle ear. An ear infection occurs in the middle ear when fluid becomes trapped following a viral or bacterial infection. This painful affliction is most common in children, but can affect people of all ages. Infections can also occur in the outer ear. They are most common when the skin in the outer ear is dry and cracked. Ear infections can be either acute (of short duration) or chronic (persisting or reoccurring frequently).
Sleep Disorders
Snoring is extremely common: 45 percent of American adults snore occasionally, and 25 percent are habitual snorers. While many consider it a mere nuisance, snoring is actually a sleep disorder that can be the sign of a serious medical condition.
Constipation
Immunizations
You canâ€™t always stave off an ear infection, but there are steps you can take to reduce the chances of your child developing one. These include breast-feeding your baby, making sure they are up-to-date on vaccinations, practicing good hygiene (e.g., regular hand-washing), keeping your child away from tobacco smoke, and enrolling them in as small a day care or preschool facility as possible. Simply put, fewer children mean fewer germs.

Ophthalmologists

Cataracts
When too little PTH is produced, calcium levels in the blood drop while phosphorous levels rise. This condition is known as hypoparathyroidismand causes weakness, anxiety, fatigue, muscle aches and cramps, headaches, muscle spasms, cataracts, depression, mood swings, memory loss and tingling sensations in the fingers, toes and lips.

Pregnancy

Kidney Stones
Hyperparathyroidismoccurs when too much PTH is secreted into the bloodstream. This creates an imbalance of high calcium levels and low phosphorous levels. Symptoms include osteoporosis, kidney stones, bone and joint pain, weakness, lethargy, loss of concentration, depression, loss of appetite, constipation, nausea and vomiting. The cause may be linked to a benign tumor or enlarged parathyroid gland. Surgery is the preferred treatment for hyperparathyroidism.
Endoscopy
Your doctor will diagnose non-allergic rhinitis based on your symptoms and medical history, and will want to rule out an allergic cause through skin and blood tests. Sinus problems present similar symptoms, so you may also need a nasal endoscopy or CT scan to rule out nasal polyps or a deviated septum.

Depression
Anxiety

Endocrinologist

Diabetes Care
Hypothyroidism
When the opposite occurs and too little TH hormone is produced, the metabolism slows down and results in a condition known as hypothyroidism. Symptoms include depression, fatigue, sore muscles, dry skin, puffy face, swollen legs, weight gain, constipation and sensitivity to cold.
Thyroid
Thyroid Cancer
About 90 percent of head and neck cancers are caused by tobacco and alcohol use. People who have been exposed to radiation, either during medical treatments as children (common in decades past) or from nuclear radiation sources, are at considerable risk for thyroid cancer and should be screened yearly.

MRI
MRI: Magnetic Resonance Imaging can clearly show tumors near bones, smaller tumors and brainstem masses. It uses a magnetic field rather than x-ray radiation.
X-Rays
Computed Tomography
To confirm a nasal fracture, your doctor will perform a physical exam. He or she will press on the sides of your nose and look inside your nostrils for signs of broken bones. Topical anesthetics may be applied before the physical exam to control the pain. An imaging test is usually unnecessary, but based on the severity of your injury a CT scan may be required if a physical exam is too painful to be performed.
Chemotherapy
If you are diagnosed with a tumor, then surgery, radiation therapy, chemotherapy or a combination will probably be recommended. Surgery might involve removing a portion or all of the salivary gland and any cancerous lymph nodes.
Radiation Therapy
Radiation therapy delivers radiation to the cancerous cells through X-rays or other high-energy beams, causing them to die. It is most effective in early-stage cancers, where it may be the only treatment necessary.

Ear Surgery
Otolaryngology
Dr. Oâ€™Reilly is on the Board of the Virginia Society of Otolaryngology. Dr. Oppenheim and Dr. Gardner have each served as president of that body.

Plastic Surgeons

Rhinoplasty
Rhinoplasty is a surgical procedure to repair or reshape the nose. It can change the size, width and profile of your nose. It can smooth out depressions or bumps on the bridge, and fix an imperfect nasal tip (one that is too large, droopy or curves upward). Large or wide nostrils may be reshaped, and a deviated septum can be corrected.
Plastic Surgery
Scars are remnants of wounds that have healed following an accident, injury or disease. They are made of fibrous tissue and vary in size, shape, color and texture. Scar revision surgery is a plastic surgery procedure to improve the condition or appearance of your scar.
Scar Revision
Before you undergo scar revision surgery, it is important to have an awareness of the different scar types, as this will determine which technique your surgeon will use.
Dermabrasion
Surface treatments are the most common type of scar revision, softening their appearance and reducing uneven pigmentation. Surface treatments either remove the top layers of skin or alter the existing tissue. Options include dermabrasion, laser therapy, chemical peels, and skin bleachers. Occasionally, deep scars require an incision for surgical removal.

Skin Cancer
Secondary cancers are tumors that have spread from primary tumors in other parts of the body to the head or neck. Most often, secondary tumors of the neck originate in the lung, breast, kidney or from skin cancers (squamous cell carcinoma or melanoma).
Cyst
Lesions
Hoarseness is the result of a problem with the vocal cords. It can be caused by a variety of different conditions including cold or sinus infections, acute laryngitis, voice misuse or abuse, benign vocal cord lesions, acid reflux, vocal hemorrhage, tobacco and alcohol use, thyroid diseases, cancer, trauma to the voice box and neurological diseases such as Parkinsonâ€™s or spasmodic dysphonia, a chronic vocal cord disorder.
Chemical Peels

Allergies
The best way to treat your allergy symptoms is to determine exactly what is causing them. This is done by allergy testing.

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